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diagnosis checklist intraoperative management differential anaphylaxis cardiacarrest difficult evaluation hypotension hypoxia intubate intubation ischaemia ischemia perioperative preop preoperative risk sepsis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Ischaemia #Anesthesiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Can’t Oxygenate (CICO ... airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Desaturation / Cyanosis ... blood gas, 12-lead ECG ... #Hypoxia #Cyanosis ... #Anesthesiology ... #anesthesia
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... #Sepsis #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Medical history ... indicated • EKG ... Obtain EKG if: ... change CV risk Chest
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